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Related Experiment Videos

A neuron in a haystack: advanced neurologic assessment.

Joseph Haymore1

  • 1Montgomery Neurosurgery-PA and Georgetown University School of Nursing & Health Studies, Silver Spring, MD, USA. haymorej@comcast.net

AACN Clinical Issues
|December 9, 2004
PubMed
Summary

Advanced practice nurses (APNs) can face challenges evaluating patients with altered neurologic function. This guide provides an organized approach to assessing mentation and consciousness, aiding differential diagnosis.

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Area of Science:

  • Neurology
  • Advanced Practice Nursing

Background:

  • Advanced practice nurses (APNs) frequently encounter patients with altered neurologic functioning across various settings.
  • Evaluating these patients can be challenging for APNs who do not routinely manage such cases.

Purpose of the Study:

  • To present an organized approach for APNs to examine patients with alterations in mentation and level of consciousness.
  • To provide considerations for differential diagnosis in these neurologic assessments.

Main Methods:

  • Systematic review of current clinical guidelines and best practices for neurologic examination.
  • Development of a structured examination protocol for assessing mentation and consciousness.
  • Outline of key differential diagnoses based on examination findings.

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Main Results:

  • The article details a step-by-step examination process focusing on key neurologic domains.
  • It highlights critical findings indicative of specific neurologic conditions.
  • Considerations for further diagnostic testing and consultations are provided.

Conclusions:

  • An organized examination approach enhances APNs' ability to effectively evaluate patients with altered mentation and consciousness.
  • This structured method supports accurate differential diagnosis and appropriate patient management.